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I entered the room of a “ comfort measures only” pt last night , only bcz one of the nurses asked me to start a new IV access to that patient . I wasn’t sure I understood right , I thought the IV access was needed to administer pain and other meds that will alleviate air hunger and near death anxiety . The nurse informed me that actually the husband of the poor woman that I was about to work on , does not aloud any meds as such . The iv access was for fluids , Bcz he thinks “ she needs fluids “.
I went back to my computer and red the file . Here w brain hemorrhage , extensive and untreatable , neurosurgery signed off two days ago and the patient remains in coma . I went to the room and I was greeted suspiciously by the husband and another lady . That one was dressed colorful as a peacock and she had laid an impressive amount of crystals or colored pieces of glass ( the fuck I know ) allover the poor unresponsive lady . Essential oils were steaming from two different devices , and I was barely able to breathe after 2 mnts . I introduced my self and ask them to step outside so I can do the job . The crystal / oil lady examined my badge , then she asked me “ where are u from “.
To which I replied my standard poem , 25 yrs and keep answering , “ I am half italian and half greek . “.
The colorful lady looked at me like I have 3 eyeballs , and told me “ u need to be careful . This is bad combination , nobody want neither of your people upset and angry .”
And I am thinking . Ma’am , u don’t even know , and boy u are about to find out . But I smiled . I also thought , god damn u steeve , u owe me a big one for this shit tonight . None of them where going to leave the room , so I washed my hands and got my gloves on . My poor lady in the bed was really in need for some morphine , and some ativan . Man , that’s not the way to go 🙁it’s just not right 🙁
I mentioned to husband , “ I think your wife will be more in comfort sir w some morphine “.
And that’s when the shit literarily hit the fan as Americans say . The colorful crystal / oils lady introduced her self as some type of naturopath , homeopath , and whatever the f else path . ( yes . I am angry and is 0940 and I am finally in my bed typing this for u all , and now I can be my self !)
She told me “ no . What she needs it’s a colon cleansing . U need to give her something to empty her colon . When the feces leave her body , she will wake up .”
I stood there for about 15 seconds b4 I collected self tght , and thought of policies / ethics / next of kin wishes / and with what hand I can slap her . Finally I found the strength to smile , and told her “ I don’t think so “.
But pls feel free to discuss this w Hospitalist in the morning . If he agrees , u can proceed . Tonight , I can guarantee to u , this poor woman is not getting any colon cleansing . She went on telling me the benefit of it , even for near death people . The idea is , the toxins will leave her body , she will wake up , she will be able to talk and say good bye to her husband . For my good luck ( I do need my job ), the solution came from the husband :
“ let it go Debby , she might be talking to the Lord already and the Lord might wants her more “.
And I was like “ thank u f Jesus , that’s a boy , good boy jesus , yeeeesss !!! “ 🙌🙌🙌

I left the room w sadness for that poor woman , laying in a hospital bed without appropriate medications to exit this world pain free and in comfort . I have neither authority or control or input at the very end of how her last hrs will go . Talking to deaf ears , and the lady gasping for air . That’s not the way to die . Between colon material and lord the savior , there was a human , a mother of 2, a lady w colored hair like mine , and only 5 years older than me who is struggling to exit in pain . I made it home and about to hug puppies and we can all sleep and wake up ( hopefully ), and do it allover again . I am typing this to make a suggestion . Not advice . A suggestion :
Get your living will in order . Young or older . Make your own decisions . That’s all I am going to say about that . I love u all . Stay alive 🙌🦇✌🏻

Pralina1 9 Jan 27
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12 comments

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3

"I stood there for about 15 seconds b4 I collected self tght , and thought of policies / ethics / next of kin wishes / and with what hand I can slap her."

3

What a shitshow. That is all...... 😟

3

Every time I wake up and see this world around me, reach over and feel the curve of my precious wife (assuming she isn't sleeping on the leather couch in the great room because they are cool and she is having a hot flash) I am very pleasantly surprised. You never know when your time is up and it is hoped that when that time comes it will be pretty much painless and free of this sort of craziness. I hope my luck holds as this is one batshit crazy reality.
Thank you for doing such an amazing job under such difficult conditions.

♥️♥️♥️

@Pralina1 We know you are fighting the good fight under hostile conditions, hang in there - people who are suffering really need you. There could even be a pandemic coming, I will keep my fingers crossed for luck for you - it may not help but it can't hurt either - that and good aseptic techniques.

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Yup, just do it.

Been married to 2 nurses, you guys are a different breed.

1of5 Level 8 Jan 27, 2020

😂😂😂😍😍😍✌🏻✌🏻✌🏻

Love it.

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I feel very much your frustration at not being able to help that poor lady and to ease her way out of this life. I admire your restraint under the circumstances, I don’t think I would ever have had the ability to keep from venting at the woman who seems to be in control and is setting the agenda. I wonder how much she is charging this man for this quackery! It is a good suggestion, in fact it is good advice which you are giving us to make sure we have a living will made with clear instructions about what we want to be carried out should we find ourselves in similar circumstances. Hope you sleep well and find the strength to continue doing the marvellous job caring for your patients. Hugs !

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Thanks for the advice. What you do is amazing. It has got to be so hard. I hope you have some way to find peace at the end of every day.

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Before each of my hospital stays, even if just overnight, I have made sure that the VA still had on file my living will, and that my advance directives were clear to the team that was working on me. I am sorry that you had to endure the charlatan and proud that you didn't show here the top floor exit.

My family dr told me on file isn't quite good enough. If an ambulance comes in they are required by law to start life saving measures. The reason mine is taped by the front door 😉

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That was horrendous, I feel sorry for the patient and you for this Bullshit you had to endure from the "Karen" and moron husband. I have a good friend who was at my side when this happened to me and a sister nearby my sons are 2 1/2 hours away all of them are familiar with good medicine and watch over me . Thankfully my health has improved to the point wher where this is unnecessary now barring a catastrophe, but it's a good lesson for others

bobwjr Level 10 Jan 27, 2020
1

I would've added some morphine to the iv without telling them..

@altschmerz true.. but then again, I most likely would've been a volunteer 😊

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My living will is in order and on file at my family dr. There's also a copy taped beside my front door. DNR, comfort measures only, no cpr. I'm thinking about making several copies and lining the hallway to my bedroom with them 🙂

I'm sorry you had to deal with this.

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Hang in there pralina1. You did good. The world is better with you in it. I have my living will.

Not sure my liver will make it.

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